Pain Clinical Trial
Official title:
Effect of Music on Pain in Cancer Patients in Palliative Care Service: a Randomized Controlled Study
Background: Palliative care services can be applied in chronic, life-threatening conditions
such as cancer, and provide physical, mental and psychological support to patients worldwide.
Purpose: This study aimed to investigate the effect of music on pain, anxiety, comfort and
functional capacity of cancer patients received care in a palliative care unit.
Methods: The population of this randomized controlled trial consisted of cancer patients
hospitalized in the Palliative Care Service of a Training and Research Hospital between July
2018-July 2019. The sample of the study included 60 patients (30 interventions/30 controls)
who met the inclusion criteria. The patients in the intervention group were given a total of
six music sessions, ten minutes each with the Turkish classical music in maqams (modes) of
their choice (Hejaz or Rast accompanied by an expert tambour (drum) player).
The incidence of chronic diseases and conditions including cancer that require a long-term
treatment process and also affect the individual psychological status and quality of life has
increased with a high financial burden as a result of relatively prolonged human life under
the influence of contemporary medicine. Palliative care services can be applied in chronic,
life-threatening conditions such as cancer, and provide physical, mental and psychological
support to patients worldwide. Symptoms including pain, constipation, diarrhea, anorexia,
dysphagia, nausea and vomiting, dehydration, depression, delirium, and fatigue may
demonstrate in cancer patients receiving palliative care, while most of the them have
complain of pain. Studies have reported that 30% of cancer patients experienced pain at the
diagnosis, 50-70% of them in during treatment period, and 60-80% of them in the terminal
period. It was determined in another study that 90% of patients had pain when they were
hospitalized in palliative care service, and more than half of them defined the pain severity
at 5 and above.
Pharmacological agents were used to manage pain control, as they had rapid effect and were
easily applicable. In addition to pharmacological agents, the application of
non-pharmacological interventions is important for improving the quality of life and patient
comfort and reducing the symptom burden in relieving pain caused by the side effects and
methods of treatment in the palliative care cancer patients. Since non-pharmacological
methods could reduce pain by applying alone or in combination with drugs, the frequency of
use has increased in recent years. Music therapy was used as a non-pharmacological method in
many health problems as a traditional treatment and psychosocial interventions. The study was
aimed to investigate the effects of music therapy on pain in patients with cancer
hospitalized palliative care service. In the current study we tested the hypothesis that
palliative care patients' pain management. 1. reduce the rate of pain score. 2. reduce the
rate of anxiety scoe. 3. To increase the rate of comfort level. 4. To increase the rate of
functional capacity.
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